• 제목/요약/키워드: Service Facility

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노인요양시설 입소자의 장기요양등급 개선과 서비스 질 관련요인 (The Related Factors with Improvement of Long-term Care Need of Residents and Quality of Service in Long-term Care Facility)

  • 진영란;최경원
    • 보건의료산업학회지
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    • 제8권1호
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    • pp.51-64
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    • 2014
  • The purpose of this study was to investigate the relationship among staffing, occupancy rate, upward level change of long-term care need, and evaluation grade of facility. Data were obtained from National Health Insurance Corporation Database. Occupancy rate and evaluation grade were highest in National/public operating facilities, while they were worst in individual operating facilities. The percents of A or B grade in evaluation grade (by newly enforced law) is highest in National/public operating facilities. Multiple regression analysis showed that upward level change of care needs was very weakly associated with the number of doctors. Evaluation grade showed a weak and significant association with occupancy ratey(by old-version law)(r=.20, p<.01), upward level change of care need in group home(r=.23, p<.01) Staffing in facility did not show significantly consistent association with upward level change of care needs, evaluation grade, and occupancy rate.

중국의 정신의료시설 및 지원체계에 관한 법제도 연구 (A Study on the Regulation for Mental Healthcare Facility and Delivery System in China)

  • 고문매;윤우용;채철균
    • 의료ㆍ복지 건축 : 한국의료복지건축학회 논문집
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    • 제24권1호
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    • pp.7-14
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    • 2018
  • Purpose: This study analyzes mental healthcare delivery services and types of facilities, the status of installation and operation, and planning standard. The purpose of the study is to propose a basic data for the performance of related research and work tasks, along with an understanding of the Chinese mental healthcare facility type and support system. Furthermore, it will show a lack of current function management as the changes of mental health concept and demand for services increases, and it is intended to provide implications for the construction of mental health facilities. Methods: This study was conducted by a research on law and regulation of China's mental healthcare delivery service system and mental healthcare facility. The analyzed data are the national standard GB, the optional national standard GB/T, the building construction standard JGJ, and the report issued by the Health Planning and Development Committee. Results: At present mental healthcare facility construction in China is in the period of rapid development and it exposes the layout of medical facilities, which is not currently reasonable and the service does not reach the designated position and so on. Overall, it requires more detailed guidelines to enhance the quality of mental healthcare service. Implications: It is expected that the research of this paper will provide effective reference for future research on Chinese Mental healthcare system and facilities, and can promote construction of Chinese mental healthcare facility theory in perfect condition.

의료기관 종류별 진료내역 비교 -정상분만과 급성 충수염을 중심으로- (A Comparison of Medical Care Services by Type of Medical Care Facility -In cases of normal spontaneous vaginal delivery and acute appendicitis-)

  • 이영두
    • Journal of Preventive Medicine and Public Health
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    • 제18권1호
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    • pp.41-50
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    • 1985
  • To find out the differences in medical practice according to the environment of patient care and managerial situation of the medical care institutions, normal spontaneous vaginal delivery and acute appendicitis were selected, which is suitable for comparison because of their high comparability. A total of 473 cases of normal spontaneous vaginal delivery and 408 cases of acute appendicitis was sampled from the claims to Korea Medical Insurance Cooperations during January to June 1984. Complicated cases were excluded from population and sampling was restricted from 40 to 60 percentile for total charges by the type of medical care facility in order to rule out the influence originating from case mix. Important items representing type and quantity of medical care service were compared by type of facility. Major findings are as follows : 1. University hospital shows the highest in charges per case and decrease in order of general hospital, and clinic. 2. In case of normal spontaneous vaginal delivery, average length of stay shows statistically significant difference by type of facility. 3. Charge amount for each service item affected by practice pattern shows statistically significant difference mostly by type of facility. It is suggested that medical practice pattern is different by type of facility for medical services. 4. Difference in total medical expenditure by type of facility is affected more with charges for materials, consumables and drugs than with fee for service activity. 5. In administering drugs to patients, hospital and clinic show higher injection rate than university and general hospital. 6. Clinical Laboratory tests were common in order of uninalysis, hemoglobin, hematocrit, white blood cell count, urine microscopic examination in cases of normal spontaneous vaginal delivery; white blood cell count, urinalysis, hemoglobin, hematocrit, urine microscopic examination, white blood cell differential count, in cases of acute appendicitis. 7. The result for Laboratory test and Radiologic study shows extreme difference by type of facility. Test rate is lowest in clinic and increase hospital, general hospital, and university hospital in order, both in type and frequency.

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지능형 도시시설물 관리를 위한 네트워크 기반 도시공간객체식별자(UOID) 시스템 개발 (Development of Urban Object Identification System Based on Network for Intelligent Urban Facility Management)

  • 김태훈
    • 한국지리정보학회지
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    • 제14권4호
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    • pp.172-181
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    • 2011
  • 최근 u-City, u-EcoCity, Smart City 구축 등을 통해 기존 도시를 혁신하려는 움직임이 있으며, 도시시설물관리체계 또한 단순한 DB대장 관리를 넘어서 최신 IT기술을 이용하여 실시간 모니터링 및 사전대처를 하려는 다양한 개발들이 진행중이다. 본 연구에서는 이러한 도시시설물 관리체계의 혁신을 위해 도시공간객체의 표준화된 위치기반 ID체계인 도시공간객체식별자(UOID)를 제시하였으며, 네트워크 기반으로 관리하고 다양한 서비스를 연계시키기 위한 UOID 네트워크 서비스 시스템을 개발하였다. 세종시 테스트베드를 통해 시스템을 시험검증하여 완결성 및 안정성을 확보중이며, 도시공간정보플랫폼의 서비스 모듈로 탑재되어 향후 u-City 등에서 다양한 u-Service에 활용가능하도록 실용화를 추진하고 있다.

노인장기요양보험제도 실시에 따른 노인요양시설 종사자들의 운영환경변화 인식 (Recognition of Employees in Long-term Care Facilities on the Operating Environment Changes According to Introduction of Long-term Care Insurance)

  • 최지혜;김선희;조경원
    • 보건의료산업학회지
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    • 제5권3호
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    • pp.13-23
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    • 2011
  • This paper investigated the operating environment for the representative of each agency and the facility workers on the basis of analytical result of recognition changes of the operating environment changes under the operating the long-term care insurance. It was described plans to take positive effect on the operating as follows. The first, on the result of regression analysis, the service administrative range takes the biggest effect on the general recognition of executing the long-term care insurance off and on. The affirmative recognition of the service administrative range had the general recognition on the system be positive effect. But the operator of facility asserts that the care manager's professionalism related quality of service be strengthened. The second, on the result of regression analysis, in the financial accounting administrative it is revealed the more positive recognition it is, the more positive effects it has. From the difference verification of an operation size from operation subject, the small operation size and personal facility recognize the long term care insurance positively. On the other side the facilities where the operation size is big recognize the system negatively. The long-term care facility should rearrange a support program newly and the government needs to promote the donation activity, because it is needed to reduce the financial burden of facilities.

V2G를 이용한 전력계통 서비스 (Grid service using Vehicle-to-Grid)

  • 이현구;손홍관;하태현;배정효;김대경;이성준;김성철
    • 대한전기학회:학술대회논문집
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    • 대한전기학회 2011년도 제42회 하계학술대회
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    • pp.141-142
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    • 2011
  • The increase in oil prices and the rising environmental concerns are boost the electric vehicle supply. Vehicle manufactures understand this trend quite well and plan to increase the production of electric vehicle(EV) such as Nissan LEAF and GM VOLT etc.. The growth of intermittent renewable energy sources such as solar and wind power requires utilities to find additional grid coupled energy storage and regulation capacity. EVs have a battery pack and a charger. The charger can be able to deliver power back to the grid from the vehicle's battery as well as charge the battery. The concept of deploying EVs to stabilize the electric power grid is generally referred to as Vehicle-to-Grid(V2G). We present the grid service using V2G.

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Analysis of Revenue-Sharing Contracts for Service Facilities

  • Yeh, Ruey Huei;Lin, Yi-Fang
    • Industrial Engineering and Management Systems
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    • 제8권4호
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    • pp.221-227
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    • 2009
  • There are customer services jointly provided by two facilities so that each customer will complete the course made up of both facilities' sub-services. The two facilities are assumed invested respectively by an infrastructure owner and one subordinate facility owner, whose partnership is built on their capital investments. This paper presents a mathematical model of Stackelberg competition between the two facility owners to derive their optimal Nash equilibrium. In this study, each facility owner's profit is consisted of fixed revenue fractions of sold services, operating costs (including depreciation cost) and maintenance costs of her facility. The maintenance costs of one facility are incurred both by failures and deterioration due to usage. Moreover, for both facilities, failures are rectified immediately by minimal repairs and preventive maintenance is carried out at a fixed time epoch. Additional assumptions are also employed to develop the model such as customer arrivals are manipulated to follow a Poisson process, and each facility's lifetime is independently Weibull-distributed. The Stackelberg game proceeds as follows. At the first stage of decision making process, the infrastructure owner (acting as a leader) decides the allocation of revenue shares based on her self-interest. After observing the allocation of revenue shares, the subordinate facility owner determines her own optimal price of services. This paper investigates actions and reactions of the two partners in the system. Then analytical conditions are proposed to achieve a unique optimal Nash equilibrium. Finally, some suggestions for further research are discussed.

A Group Decision Model for Selecting Facility Layout Alternatives

  • Lin, Shui-Shun;Chiou, Wen-Chih;Lee, Ron-Hua;Perng, Chyung;Tsai, Jen-Teng
    • Industrial Engineering and Management Systems
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    • 제4권1호
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    • pp.82-93
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    • 2005
  • Facility layout problems (FLP) are usually treated as design problems. Lack of systematic and objective tools to compare design alternatives results in decision-making to be dominated by the experiences or preferences of designers or managers. To increase objectivity and effectiveness of decision-making in facility layout selections, a decision support model is necessary. We proposed a decision model, which regards the FLP as a multi-attribute decision making (MADM) problem. We identify sets of attributes crucial to layout selections, quantitative indices for attributes, and methods of ranking alternatives. For a requested facility layout design, many alternatives could be developed. The enormous alternatives, various attributes, and comparison of assigned qualitative values to each attribute, form a complicated decision problem. To treat facility layout selection problems as a MADM problem, we used the linear assignment method to rank before selecting those high ranks as candidates. We modelled the application of the Nemawashi process to simulate the group decision-making procedure and help efficiently achieve agreement. The electronics manufacturing service (EMS) industry has frequent and costly facility layout modifications. Our models are helpful to them. We use an electronics manufacturing service company to illustrate the decision-making process of our models.

경전철에서 역무자동설비 설계 방안 (A Study of Light Train AFC System Planing)

  • 이정주;이수영
    • 한국철도학회:학술대회논문집
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    • 한국철도학회 2007년도 추계학술대회 논문집
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    • pp.1574-1585
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    • 2007
  • In the more and more continues traffic difficulty which comes to be serious it is for solve, in order to like this used plan for new town light train automatic fare collection system, the city development which is balance and the passenger whom it uses, in consequence of the fact that recently believer instruction, the automatic fare collection system the reverse which is convenient is used in the scripture season which is embossed with means it introduces it operates and a manpower with the scientific service control which leads the electric computer anger of passenger service improvement and accounting and statistical business it reduces, the use is convenient and the possibility facility of operating efficiently in rational plan in order to be, description below for the service automation equipment where the efficiency improves it is. Service automation equipment uses a scripture season to be the first boundary gate of the passenger, there must be a place where it uses a service automation facility and in order to be convenient, it considers the moving area and a wait of the reverse station passenger moving area and the space where, must secure the automatic fare collection system which it follows in automation of facility and the service operation of the reverse station which is ticket sale, the collection of tickets back the passenger is convenient and in order it will be able to use, must do and must consider, must arrange the efficient characteristic of the maintenance civil official services.

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교육서비스품질이 고객만족 및 재이용에 미치는 영향에 관한 실증적 연구 - E평생교육센터 중심으로 - (An Empirical Study on effect of Education Service Quality which Influence Re-Use and Customer Satisfaction - Focusing on E life-long Education Center -)

  • 김지현;이상복
    • 품질경영학회지
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    • 제39권1호
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    • pp.155-166
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    • 2011
  • In this research, we study on to find the inter-relation among education service quality and customer satisfaction and re-use focusing on E life-long education center. Education service quality consists of four factors such as training center's facility, trainer, employee's service and operating service. As like the results of this research, we found that three factors of education service quality such as facility, trainer and operating service give a positive effect to customer satisfaction and also we found that customer satisfaction gives a positive effect to re-use.